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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Developed for Texas Health & Safety Code 181.154(d) effective June 2013Please read this entire form before signing and complete all the sections
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Online reason for disclosure is a platform where individuals or organizations can report any undisclosed information or activities.
Any individual or organization that has undisclosed information or activities that need to be reported.
You can fill out online reason for disclosure by visiting the official website and following the instructions provided.
The purpose of online reason for disclosure is to promote transparency and accountability by allowing individuals or organizations to report any undisclosed information.
Any relevant information or activities that have not been disclosed previously must be reported on online reason for disclosure.
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